MRS. JESSICA MARIE JACOB LMFT
NPI 1558994475
Marriage & Family Therapist in San Diego, CA
About Mrs. Jessica Marie Jacob Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA MARIE JACOB LMFT (NPI 1558994475) is an individual marriage & family therapist in San Diego, California, licensed in California (133784) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jessica Marie Jacob Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Jacob's NPI number?
The NPI number for Jessica Jacob is 1558994475. It was assigned to this individual provider in the NPPES registry on February 19, 2020. The provider is also known as Jessica Marie Cormier.
Where is Jessica Jacob located?
Jessica Jacob practices at 4540 Kearny Villa Rd Ste 103, San Diego, CA 92123. The listed phone number is (858) 279-1223.
What is Jessica Jacob's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jessica Jacob enrolled in Medicare?
Yes. Jessica Jacob is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Jacob reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Jacob was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jessica Marie Jacob, LMFT · NPI 1558994475
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since February 19, 2020.
## Identity
- **NPI:** 1558994475 (Entity type: Individual)
- **Enumerated:** February 19, 2020
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 133784 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4540 KEARNY VILLA RD STE 103, San Diego, CA 92123-1564
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558994475) · Data from the CMS NPPES public registry.